Job Application Form

Application for Employment
An Equal Opportunity Employer

Job Point is an equal opportunity employer and does not discriminate in regards to employees or applicants for employment. No person will be discriminated against in employment because of race, religion, color, gender, age, national origin, disability, sexual orientation, veteran status, marital status, ancestry, familial status (housing), pregnancy, genetic information, gender identity, childbirth and related medical conditions, transgender status, National origin (including limited English proficiency political affiliation or belief.
Today's Date

MonthDayYear
Date
Full Name

First NameMiddle NameLast Name
Email Address
example@example.com
Phone Number
Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How long have you lived at your current address?
Previous Address (or addresses)
Please include dates you lived at the previous address or addresses
Are you eligible to work in the United States?

YesNo
Are you 18 years of age or older?

YesNo

Educational History
Current Licenses (if applicable to position)
Including driver's license or certificates held. Please specify kind, state and expiration dates.
Special Skills
Including software programs

Upload Your Resume

Cancelof
Cover Letter

Professional References - List three persons not related to you, whom you’ve worked with in a professional capacity
Applicant's Statement

I hereby certify that all information on this application is correct and complete to the best of my knowledge. I agree to have the statements verified by Job Point, unless I have indicated to the contrary. I understand that falsification or omission of any material information on this application may be considered cause for immediate dismissal. If employed, I agree to abide by all policies and procedures established by Job Point. I further understand that Job Point reserves the right to change, interpret, withdraw, or add to its rules, regulations, policies, benefits, or terms and conditions of employment at its sole discretion without prior notice. I understand that Job Point follows an “employment at will” policy, and that I or Job Point may terminate my employment at any time, for any reason consistent with applicable state or federal law. I understand that nothing on this application is intended to create or imply a contractual relationship. I further understand that this form does not indicate that there are any available positions and does not obligate Job Point to offer me employment. I understand that if I am hired, I must submit satisfactory proof of employment authorization and identity. Failure to submit such proof will result in employment offer withdrawal or termination of employment. I understand that Job Point will thoroughly investigate my work and background and verify all data given on this application and in interviews. I authorize all individuals, schools, and present and past employers, except as indicated previously, to provide any information requested about me, and I release them from all liability for damage in providing this information.

I certify that all the statements herein are true and understand that any falsification or willful omission shall be sufficient cause for dismissal or refusal of employment.
Applicant's Signature

Clear

VOLUNTARY SELF-IDENTIFICATION FOR APPLICANTS
(CONFIDENTIAL - FOR STATISTICAL USE ONLY)

Job Point is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sex, age, national origin, disability, veteran status, sexual orientation or any other classification protected by federal, state or local law. The information below will be used only in accordance with federal and state regulations. Completion of this data is voluntary and in no way affects the decision regarding your application for employment. This form is confidential and will be maintained separately from your application.
Please complete in full.
Today's Date

MonthDayYear
Date
Name

First NameLast Name
Position Applied For
Gender: I identify as

MaleFemaleOther
Disability

YesNo
Limited English Proficiency

YesNo
Veteran

YesNo
RACE/ETHNICITY: (Please check one of the descriptions below corresponding to the ethnic group with which you most identify.)
Should be Empty:

Application for Employment

Employment History

VOLUNTARY SELF-IDENTIFICATION FOR APPLICANTS(CONFIDENTIAL - FOR STATISTICAL USE ONLY)

Please complete in full.

VOLUNTARY SELF-IDENTIFICATION FOR APPLICANTS
(CONFIDENTIAL - FOR STATISTICAL USE ONLY)